Exhibitor Registration Form
Company Information (please print):
Company Group:
Company Name: ________________________________________________________________ (Submit company name exactly as it should appear on all published Convention materials. Print legibly.) Address: ________________________________________________________________________ City, State, Zip: __________________________________________________________________ Website address: _________________________________________________________________
Administrative Contact Information: Contact Name/Title: _____________________________________________________________ Contact Address: ________________________________________________________________ City, State, Zip: __________________________________________________________________ Contact Phone Number: __________________________________________________________ Contact Email: __________________________________________________________________
*Company Description of Service/Product:
Audit & Consulting Automotive Solutions Collections Compliance & Risk Management Data Processing EFT Services Facility Design Financial Services Human Resources Legal Services Lending Services Marketing Member Service Solutions Mortgage Services Network Security Services Operational Solutions Misc. ________________
Provide a brief description (50 words of less) of service/product for use in conference materials. Descriptions with more than 50 words will be edited at the discretion of LSCU. *Must be received before October 1, 2010 to be included in materials.
_______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________
Booth Choices:
Booths are reserved on a first come, first served basis once payment has been received. To request an exhibit hall floor plan, email expo@lscu.coop. Booth Choices: First____________ Second_____________ Third___________ Fourth_____________ LSCU SCU reserves the right to place Exhibitors in what it considers a comparable booth if/ when the requested choices are not available, are in conflict with competing companies, or for any other reason. I
would would not like to be placed next to the following vendor(s):
________________________________________________________________________
2010 Development Conference November 3-5, 2010 The Grand Marriott | Point Clear, AL
Booth Registration Fees: (Space is available on a first-come-first-served basis.)
Booth Space Level 1 Booth: $1,995ea Level 2 Booth: $1,695ea Level 3 Booth: $1,495ea
Color Code Blue White Pink
Booth registration fee for those companies that Exhibited at the 2010 Convention & Exposition includes two representatives, one skirted table, two chairs, and a waste basket. A maximum of two additional representatives may be added at $195 per person.
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Exhibitor Registration Form
Onsite Exhibiting Representative(s) Representative(s) :
The following fields are required for each onsite exhibiting representative. List name(s) exactly as they should appear on name badges. All representatives are required to be a full-time employee of the exhibiting company. All representatives are required to supply an individual email address so that conference information is received by all individuals and employment verification can be conducted. All name changes received before October 22, 2010, are free-of-charge. Representative changes after October 22, 2010, are at a cost of $35/change. Onsite Appointed Official Representative: __________________________________________ Representative Title: _____________________________________________________________ Representative Email Address: ____________________________________________________ 2nd Representative: ______________________________________________________________ 2nd Representative Title: _________________________________________________________ 2nd Representative Email Address: ________________________________________________ Additional Representative(s) ($195 per person): (A maximum of four representatives are allowed per booth.) Add’l Representative: ____________________________________________________________ Add’l Representative Title: ________________________________________________________ Add’l Representative Email Address: _______________________________________________ 2nd Add’l Representative: ________________________________________________________ 2nd Add’l Representative Title: ____________________________________________________
Booth Details
· · · · · · · · ·
8’ x 10’ Booth Space Side & Back Draping Essentials Package: Skirted Table, Two Chairs, & a Waste Basket Booth Identification Sign Admission for Two Representatives Pre-Show List of Registrants Admission to Educational Sessions, as well as the General Session 24-Hour Exhibit Hall Security Group Room Rates at the Hotel Booth Must Be Manned at All Times. A Maximum of Two Additional Representatives May Be Added at a Cost of $195 Per Person. Children Under the Age of 18 Are Not Allowed in Exhibit Hall at Any Time.
2nd Add’l Representative Email Address: ___________________________________________
Companies Who Did Not Exhibit at the 2010 LSCU Annual Convention & Exposition Will Be Charged $215 for the Essentials Package (Table/Chairs/Waste Basket).
2010 Development Conference November 3-5, 2010 The Grand Marriott | Point Clear, AL
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Exhibitor Registration Form
Contract Agreement:
We hereby apply for exhibit space at the 2010 Development Conference to be held at the Grand Hotel Marriott Resort, Golf Club & Spa on November 3 - 5, 2010, and agree to abide by all the requirements and restrictions in the Contract Terms & Regulations provided on LSCU’s website at www.lscu.coop and incorporated by reference herein. This includes (but is not limited to) not bringing children under the age of 18 into the Exhibit Hall, dismantling before 2pm on Friday, June 18, and refraining from doing business outside of your rented booth space in the Exhibit Hall. Any Exhibitors not following appropriate Exhibitor etiquette will be asked to refrain. We understand that this is not a contract until officially accepted by the LSCU. The full rental fee must accompany the agreement. A full refund of the booth rental price (minus $250 cancellation fee) will be made upon written request received by exhibit management prior to September 10, 2010. A full refund of the booth rental price (minus $500 cancellation fee) will be made upon written request received by exhibit management prior to October 1, 2010. A 50 percent refund will be made for cancellation requests received on or after October 1, 2010 but before October 15, 2010. No refunds will be made on or after October 15, 2010. Accepted by Exhibitor: ___________________________________
____________
Accepted by LSCU: ______________________________________
____________
Signature
Signature
Return original with payment. Make checks out to LSCU. Be sure to make a copy for your records. Mail to: LSCU Attn: Exhibit Management PO Box 3108 Tallahassee, FL 32315 Fax to: 850.558.1105 Email to: expo@lscu.coop
Date
Date
Payment Information (required):
Invoice Me
Company Name: ________________________________
Credit Card Authorization
Contact Name for Accounting: ____________________
VISA
Make all checks payable to LSCU.
Contact Phone Number: __________________________
MasterCard
(American Express and Discover are not accepted.)
Email Address: ___________________________________
Credit Card Number
Payment Summary:
Card Exp Date
Booth Space Registration:
$ __________________
V Number (3-digit number on back of card)
Add’l Representative(s):
$ __________________
Cardholder’s Billing Address
Essentials Package $215: (For Non-AC&E Exhibitors Only)
$ __________________
Total Amount Enclosed:
$ __________________
City/State/Zip Print Name Authorized Signature
2010 Development Conference November 3-5, 2010 The Grand Marriott | Point Clear, AL
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Exhibitor Registration Form
LSCU DEVELOPMENT CONFERENCE NOVEMBER 3 - 5, 2010 GRAND HOTEL MARRIOTT RESORT, GOLF CLUB & SPA POINT CLEAR, AL
Grand Ballroom Main Entrance
102
104
106
108
112
101
103
105
107
109
111
113
202
204
206
208
210
212
203
205
207
209
211
213
302
304
306
308
310
312
303
305
307
309
503
400
100
502 501
402
500
300
403
Office Depot
Service Hallway
401
CUSC
200
CUNA Mutual
301
313
Service Hallway
$1,995 4 = $7,980
Entrance into General Session through Exhibits
$1,695 14 = $23,730 Pipe & Drape to Close Off Service Hallway
2010 Development Conference November 3-5, 2010 The Grand Marriott | Point Clear, AL
$1,495 30 = $44,850 TOTAL 48 = $76,560
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